Calcification in Hydrophilic Intraocular Lenses Associated With Injection of Intraocular Gas

Microscopic analysis of an opacified OFT CRYL® hydrophilic acrylic intraocular lens

“…Similarly to the pattern seen in the Oft Cryl® IOL, calcification within the pupillary and anterior capsulorrhexis margins has been described in eyes in which gas or air 1) was injected intracamerally to treat Descemet's membrane detachment, to aid in graft adherence in endothelial transplants; 2) was injected to treat hypotony following trabeculoplasty; or 3) went into the anterior chamber after injection in the vitreous cavity to treat retinal detachment and ocular hypotony (2)(3)(4)(5)(6)(7)(8) . In these lenses, calcium granules were also found on the surface and subsurface of the IOLs.…”

“…Previous papers have described cases of IOL opacification in hydrophilic acrylic IOLs from different manufacturers (2)(3)(4)(5)(6)(7)(8)(9)(10)(11) . However, to the best of our knowledge, this is the first peer-reviewed report on Oft Cryl® IOL opacification.…”

“…Recently, opacification associated with the presence of gas or air in the anterior chamber has been reported (2)(3)(4)(5)(6)(7)(8)(9) . Since 2005, the single-piece hydrophilic acrylic Oft Cryl® IOL (Oft Vision, São Paulo, Brazil) has been largely used in Brazil; however, no case of lens opacification has been reported in the peer-reviewed scientific literature.…”

Late Capsular Block Syndrome Mimicking Intraocular Lens Opacification: A Case Report

“…GİL opasifikasyonu, GİL değişimi-ni de gerektirebilen ciddi görme azalmalarına neden olabilir. Tüm GİL materyallerinde opasifikasyon gelişebilmektedir ve bunun GİL üretimi veya polimer yapısındaki bir sorundan kaynaklandığı düşünülmektedir (6). Bu olgu sunumunda GİL opasifikasyonu ile karışan geç postoperatif KBS tanısı alan olgunun ayırıcı tanısı ve tedavi yönetimi tartışılmıştır.…”

Intraocular lens calcification following endothelial keratoplasty: a message for all cataract surgeons

“…This series supports previous observations that such opacification appears to be almost unique to hydrophilic acrylic IOL's, and furthermore, having air or gas in the anterior chamber appears to be a risk factor. 2,3 However, it is certainly possible for this complication to occur without rebubbling. Although all four cases had rebubbling in this series, 1 in our recently published UK series only two of the five cases had rebubbling.…”